Trends in the prevalence of tobacco use in the United States, 1991-1992 to 2004-2005

Psychiatr Serv. 2013 May 1;64(5):458-65. doi: 10.1176/


OBJECTIVE This study examined changes in the prevalence of daily tobacco use in the United States between 1991-1992 and 2004-2005 by sociodemographic characteristics and psychiatric disorders. METHODS Secondary analyses were performed using data from the National Longitudinal Alcohol Epidemiologic Survey, conducted in 1991-1992 (N=41,612), and wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, conducted in 2004-2005 (N=34,653). RESULTS Although the overall prevalence of past-year daily tobacco use decreased significantly, the reduction was not uniform across all segments of the population. In both surveys, past-year daily tobacco use was higher among respondents with a drug use disorder, an alcohol use disorder, and major depressive disorder and among individuals from socioeconomically disadvantaged groups. Declines in use were slower among individuals with a lifetime alcohol use disorder or major depressive disorder. The prevalence of past-year daily tobacco use did not decrease among Native Americans. CONCLUSIONS Individuals with substance use disorders or major depressive disorder and Native Americans reported higher rates of past-year daily tobacco use than the general population. These findings suggest the need to emphasize specific interventions for these groups.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • African Americans / statistics & numerical data
  • Alcohol-Related Disorders / epidemiology
  • Asian Americans / statistics & numerical data
  • Depressive Disorder, Major / epidemiology*
  • Female
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Indians, North American / statistics & numerical data
  • Male
  • Mental Disorders / epidemiology
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Smoking / epidemiology
  • Smoking / ethnology
  • Smoking / trends*
  • Socioeconomic Factors
  • Substance-Related Disorders / epidemiology*
  • United States / epidemiology
  • Whites / statistics & numerical data
  • Young Adult